Customer Service Case Management
Resume:
Loretta Major-Garrison
Email:***********@*****.*** - Tele: 352-***-****
Objectives
●To obtain a career within an organization that will utilize my diverse experiences which includes Management, Administrative, Customer Service, Social Services/Case Management and hands-on skill Nursing within an organization that would be of benefit for growth and stability.
●Demonstrating public interfacing and competitive abilities.
●Strong detailed organizational and analytical skills
●Excellent verbal and written communications abilities as well as presentation
●Proficient in Workforce Mgt, Microsoft Office, Word, Excel, PowerPoint, Yardi, Epic, Kronos and EMR System
Professional Experience
Health Program Representative BCForward/Elevance Health Contactor- March2024- July 2024
●Remote- Completing Initial/Annual Health Risk Assessments, Annual Benefit Enrollment for Medicare Part D
●Remotely corresponding efficiently by telephone, email, Teams or Supervisors meeting by chat/video,
Telephone Operator BCForward/Anthems BCBS Contractor- October 2023- January 2024
●Remote- Assisting with the initial intake screening process for medical insurance coverage forwarding to the appropriate Agent and/or Department.
●Remotely corresponding efficiently by telephone, email, Teams or Supervisors meeting by chat/video,
Health Program Representative BCForward/Anthems BCBS - October 2022- December 2024
●Remote- Comfirming Annual Benefit Enrollment, Medicare Part D and updating Formulary Status.
●Remotely corresponding efficiently by telephone, email, Teams or Supervisors meeting by chat/video, Staff and Providers
Consumer Experience Specialist 1 AdventHealth-Orlando, FL March 2021 -August 2022
●Remote Worker-Scheduling routine and Stat Radiology appointments.
●Verifying, collecting and/or updating RX Scripts, demographic, collecting and verifying insurance information.
●Remotely corresponding efficiently by telephone, email, Teams or Supervisors meeting by chat/video, Clinical Staff and Providers; Patient email appointments confirmation only.
●Managed auto dialer caller issues regarding confirmations, rescheduling and no shows.
Clinical Technician Phoenix House of Florida -Ocala, FL August 2020 - January 2021
●Provided Therapeutic assistance with diverse criminal justice clients with Mental Health and Drug Addiction compliance programs
●Performed body assessment and urinalysis testing for new admissions
●Conducted Client medication pass and documentation into the MARS log
●Oversaw all reporting and conducted group meeting, seminars, and workshops
●Routine monitoring and documentation of daily activities into Phoenix House electronic Health Records System (Welligent)
●Performed drug screens both routine and/or random
Customer Service Representative Sitel Communications-Ocala, FL September 2017 to January 2020
●Assisted with inbound calls from Credit Union Members regarding account inquiries, fund transfers, loan applications, and online banking technical issues
●Processed annual Medical Benefits Enrollment for active and retirees for various external clients
●Verified and updated indicative data and credit union member addresses
●Initiated workflow orders with follow up to ongoing processing for corrections with medical plans, pension issues, death benefits, Medicare Advantage billing, and/or card replacement
Patient Care Technician WellStar North Fulton Hospital- Roswell, GA February 2016 - July 2017
●Provided non-acute patient care in the Rehab Department, while rotating as needed to perform acute in ICU, ER, Surgical, and/or Med-tele
● Facilitate patient treatment plan, oxygen therapy, CHG bathing, collecting specimens, and bladder protocols
monitoring, recording vitals and input/output
Event Specialist Advantage Sales & Marketing LLC- Sandy Spring, GA May 2013 to April 2014
●Set up and facilitated pre-arranged promotional sales events to demonstrate various products to consumers, by gather information to complete online opinion survey for corporate office
Adm/Social Service Asst. Woodland Care Center Gainesville, FL 04/2009 - 04/2010
Begin as Administrative Assistant/HR before progressing to Social Service Department;Completed new patient demographic assessment interviews for new admissions.Coordinated/scheduled patients transport to doctors appointments, new admissions pickup, AND rehab discharges transport.
Psychiatric Technician-PRN Meridian Behavioral Gainesville, FL 08/2009 - 03/2010
Direct client care in Detox and Residential Mental Health Facility monitoring and reporting behavior and psychological state. Provided routine reporting and charting, Facilitated educational, recreational and social rehabilitation group sessions. Administered non-narcotic medications and perform random breathalyzer and urinalysis testing.
Relocation Coordinating Manager National Housing Miami, FL September 2003 - 1/2009
●Principle contact and liaison for Corporate and Housing Urban Development for time sensitive projects.
●Contracted to travel, set up temporary office locations to Managed Properties while assisting in housing displaced families; conducted eligibility, housing assessments, requesting and distributing relocation allowances.
●Managed overall relocation requirements including administrative, staffing and Human Resources functions
Administrative Assistant-Temp State Of Florida SAMH Department- Gainesville, FL April 2003 – September 2003
●Temporary assisted in reorganizing District 4 SAMH Administrators and Staff electronic workflow assignments, calendars and digital filing systems.
●Arranged monthly Providers meeting and notification
●Coordinated travel activities and reimbursements, purchase orders, invoicing and change orders
Senior Fiscal Assistant University Of Florida- Gainesville, FL August 1986 – June 2001
●Begin as Clerk, College of Dentistry before progressing to Senior Fiscal Assistant, Neuroscience.
●Maintaining office daily operations and State grant database; Auditing and Reconciling monthly ledgers and expenditure reports.
●Coordinated travel activities and reimbursements, purchase orders, invoicing and change orders
Education
Gainesville High School
High School Diploma
Lakeland College of Business
Business Administration-AS
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